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Objectives <p>To investigate the feasibility and short-term efficacy of laparoscopic-assisted right hemicolectomy following nasojejunal tube decompression for right hemicolonic cancer complicated by acute intestinal obstruction.</p> Methods <p>A retrospective analysis was conducted on the clinical data of 56 patients with right-sided colon cancer complicated by acute intestinal obstruction admitted to the Department of Gastrointestinal Surgery at Xingtai Central Hospital from January 2020 to December 2024. Among them, 32 patients underwent laparoscopic-assisted right hemicolectomy after nasojejunal tube decompression (study group), while 24 underwent conventional open right hemicolectomy (control group). The two groups were compared regarding changes in operative time, intraoperative blood loss, number of lymph nodes dissected, time to first flatus, length of hospital stay, and postoperative complications.</p> Results <p>The baseline characteristics of patients in the study group and control group were comparable. Compared with the control group, the study group had less intraoperative blood loss (<i>t</i> = −&#xa0;7.673, <i>P</i> = 0.000), faster postoperative anal gas passage (<i>t</i> = −&#xa0;3.796, <i>P</i> = 0.000), and longer operative time (<i>t</i> = 4.350, <i>P</i> = 0.000). There were no statistically significant differences between the study and control groups in terms of the number of lymph nodes removed (<i>t</i> = 0.423, <i>P</i> = 0.674) or length of hospital stay (<i>t</i> = 0.821, <i>P</i> = 0.415). The incidence of early postoperative complications was 3.13% in the study group and 29.16% in the control group, representing a statistically significant difference (<i>P</i> = 0.004).</p> Conclusions <p>For patients with right-sided colon cancer complicated by acute intestinal obstruction, performing laparoscopic-assisted right hemicolectomy within a limited timeframe following nasojejunal tube placement for intestinal decompression effectively resolves the issue of limited operative space during laparoscopy. Compared with emergency open surgery, laparoscopic-assisted right hemicolectomy following bowel decompression offers advantages in reducing intraoperative blood loss, promoting postoperative gastrointestinal recovery, and decreasing postoperative complications.</p>

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Clinical efficacy of laparoscopic surgery following intestinal decompression in patients with right hemicolonic cancer and acute intestinal obstruction

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月14日

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  • Jingyou Ma,
  • Jinpeng Zhen,
  • Ningbao Yang,
  • Yanjun Lian

摘要

Objectives

To investigate the feasibility and short-term efficacy of laparoscopic-assisted right hemicolectomy following nasojejunal tube decompression for right hemicolonic cancer complicated by acute intestinal obstruction.

Methods

A retrospective analysis was conducted on the clinical data of 56 patients with right-sided colon cancer complicated by acute intestinal obstruction admitted to the Department of Gastrointestinal Surgery at Xingtai Central Hospital from January 2020 to December 2024. Among them, 32 patients underwent laparoscopic-assisted right hemicolectomy after nasojejunal tube decompression (study group), while 24 underwent conventional open right hemicolectomy (control group). The two groups were compared regarding changes in operative time, intraoperative blood loss, number of lymph nodes dissected, time to first flatus, length of hospital stay, and postoperative complications.

Results

The baseline characteristics of patients in the study group and control group were comparable. Compared with the control group, the study group had less intraoperative blood loss (t = − 7.673, P = 0.000), faster postoperative anal gas passage (t = − 3.796, P = 0.000), and longer operative time (t = 4.350, P = 0.000). There were no statistically significant differences between the study and control groups in terms of the number of lymph nodes removed (t = 0.423, P = 0.674) or length of hospital stay (t = 0.821, P = 0.415). The incidence of early postoperative complications was 3.13% in the study group and 29.16% in the control group, representing a statistically significant difference (P = 0.004).

Conclusions

For patients with right-sided colon cancer complicated by acute intestinal obstruction, performing laparoscopic-assisted right hemicolectomy within a limited timeframe following nasojejunal tube placement for intestinal decompression effectively resolves the issue of limited operative space during laparoscopy. Compared with emergency open surgery, laparoscopic-assisted right hemicolectomy following bowel decompression offers advantages in reducing intraoperative blood loss, promoting postoperative gastrointestinal recovery, and decreasing postoperative complications.